Anorexia nervosa. Psychoneurotic characteristics of parents: Relationship to prognosis

Crisp, A. H.; Harding, Britta

doi:10.1016/0022-3999(74)90017-8

Cited by 87 publications

(46 citation statements)

References 5 publications

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“…Dally (7), on the other hand, finds that the amount of weight lost by the patient, her behavior on response to efforts to make her eat and frequent relapses of weight, bear no direct relationship to the final outcome; but involuntary vomiting had a bad outlook. The worse prognosis of overeating and vomiting is also confirmed by Crisp et al (5).…”

Section: Prognosis O F Anorexia Nervosasupporting

confidence: 65%

“…When parental conflicts are present and the girl is 'used' by one parent against the other, the outlook becomes worse (7). Crisp et al (5) noticed that the parents' levels of psychoneurotic morbidity are increased following restoration of the patient's weight; the ultimate prognosis for the patient appears to be importantly related to the initial level of psycho neurotic status of the parents. With regard to personality factors, Dally (7) concludes that more outgoing and independent individuals have a better outlook.…”

Section: Prognosis O F Anorexia Nervosamentioning

confidence: 99%

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Elements of Resistance to a Combined Medical and Psychotherapeutic Program in Anorexia nervosa

Pierloot

Wellens

Houben³

1975

Psychother Psychosom

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According to several follow-up studies in the literature, anorexia nervosa has to be considered as an affection with a grave prognosis. We have studied the outcome in a group of 32 female patients who could be considered as homogeneous in a number of aspects. The following five criteria, on which the delineation of the syndrome is based, were realized in all the patients: considerable weight loss; limited food intake; amenorrhea; juvenile age of onset; absence of primary organic or specific psychotic disorder. All of them presented a serious symptomatology and had undergone some previous treatment under the form of ambulatory psychotherapy and/or forced feeding. They all received, during their admission in the same hospital, the same form of combined intensive medical and psychotherapeutic treatment. All of them maintained regular psychotherapeutic contacts with the same psychiatrist. According to the outcome, the patients could be categorized into three groups: the cured, the improved, the unimproved. In order to circumscribe some prognostic elements, we have compared a number of clinical, family and personality variables in these groups. As favorable clinical factors can be mentioned: younger age at admission and shorter duration of the illness. Manifestations of impulsive behavior (automutilation, kleptomania, fugues, etc...) and suicide attempts are unfavorable. No definite family factors can be defined, although the absence of psychological interaction with the father seems to be unfavorable. A better prognostic outcome is offered by the following personality characteristics, determined by psychological testing: lower neuroticism and higher self-defensiveness on the ABV; a lower general profile and especially a lower score on the schizophrenia scale of the MMPI; less pronounced tendencies to infantile regression, passivity and sexual repression as these are expressed in the TAT.

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Section: Prognosis O F Anorexia Nervosasupporting

confidence: 65%

Section: Prognosis O F Anorexia Nervosamentioning

confidence: 99%

Elements of Resistance to a Combined Medical and Psychotherapeutic Program in Anorexia nervosa

Pierloot

Wellens

Houben³

1975

Psychother Psychosom

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“…Still, the mothers with eating disorders from very early age are more concerned about their daughter's weight Mothers with bulimia show excessive concerns about their daughter's weight and shape (Stein & Fairbum, 1989). Parental obesity on some occasions has also been suggested to provide the motivation for adolescent to diet (Crisp & Harding, 1974).…”

Section: Family and Individual Factorsmentioning

confidence: 99%

Impact of Media on Development of Eating Disorders in Young Females of Pakistan

Abideen¹,

Latif²,

Khan³

et al. 2011

IJPS

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This study examines the impact of media on development of eating disorders in young females of Pakistan by analyzing eating disorder, weight-related issues and critically evaluating the factors, which lead to the eating disorder in females. Based on study, it is suggested that the occurrence of eating disorders and the number of young females who employ weight loss endeavors are increasing at an alarming rate. Efforts directed toward the impediment of eating disorders are needed to invalidate this tendency. Suggestions for future research include standardization of procedure. An empirical base to support the use of proposed factors; more sustained, stepwise research analyzing the eating disorder in females and rigorous programs that have sufficiently large sample sizes and lengthy follow-up periods to detect effects, will be more informative. Recommendations are proposed for health care providers and marketers to help prevent both chubbiness and eating disorders among young females. These recommendations put great emphasis on the importance of helping young females and their families, for a sustained behavioral change.

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“…(c) Parent-child relationship Good relations between the patient and his/her parents are said to indicate a good outcome by several workers (Kay & Shapira, 1965;Dally, 1969;Crisp et al 1974;Morgan & Russell, 1975;Hsu et al 1979), but this is questioned by Pierloot et al (1975) and Theander (1970).…”

Section: Prognostic Factorsmentioning

confidence: 99%

“…The exclusive use of these methods to reduce weight is regarded as pointing to a favourable outcome by Beumont et al (1976), but as unimportant prognostically by Halmi et al (1973Halmi et al ( ,1976 and Pierloot et al (1975 (Theander, 1970;Halmi et al 1973;Crisp et al 1974;Beumont et al 1976;Garfinkel et al 1977;Hsu et al 1979);purgative abuse and bulimia during the onset and course of the condition (Theander, 1970;Halmi et al 1973;Beumont et al 1976;Willi & Hagemann, 1976;Kalucy et al 1976;Hsu et al 1979); extreme loss of weight (Dally, 1969;Morgan & Russell, 1975;Hsu et al 1979); depressive and obsessive-compulsive symptoms (Halmi et al 1973); chronicity, associated particularly with obsessive-compulsive personality traits (Lesser et al 1960;Kay & Shapira, 1965;Dally, 1969;Bhanji & Thompson, 1974;Kalucy et al 1976;Goetz et al 1977); older maternal age (Dally, 1969;Theander, 1970;Halmi et al \911);premorbid developmental and clinical abnormal phenomena (Dally, 1969;Morgan & Russell, 1975); high rates of physical complaints (Halmi et al 1973;Stonehill & Crisp, 1977); acute body perception disturbances (Garfinkel et al 1977;Kalucy et al 1977); neuroticism (Dally, 1969;Pierloot et al 1975); psychological test-results suggestive of psychos...…”

Section: (H) Hyperactivity and Dietingmentioning

confidence: 99%